MR. EDGAR M. SANTIAGO IDC
NPI 1104131077
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Edgar Santiago's NPI number?

The NPI number for Edgar Santiago is 1104131077. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Q: What is Edgar Santiago's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Santiago was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2010

SURFACE WARFARE MEDICINE INST, 34101 FARENHOLT AVE, SAN DIEGO, CA 92134(619) 532-5136 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Edgar M. Santiago Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDGAR M. SANTIAGO IDC (NPI 1104131077) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1104131077

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. EDGAR M. SANTIAGOCredential: IDC

Location AddressSURFACE WARFARE MEDICINE INST, 34101 FARENHOLT AVESan Diego, CA 92134-7000

Mailing Address1391 Sutter Buttes StChula Vista, CA 91913-2944 · (629) 532-5136

Phone(619) 532-5136

Sole ProprietorYes

Enumeration DateAugust 16, 2010

✔ NPI 1104131077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

SURFACE WARFARE MEDICINE INST, San Diego, CA 92134

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Santiago's NPI number?

The NPI number for Edgar Santiago is 1104131077. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Edgar Santiago located?

Edgar Santiago practices at Surface Warfare Medicine Inst 34101 Farenholt Ave, San Diego, CA 92134. The listed phone number is (619) 532-5136.

What is Edgar Santiago's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Edgar Santiago was last updated on August 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.